Medial Condylar Hoffa Fracture in Left Knee Joint: Case Report

Coronal shear fracture of the distal femoral condyle is an unusual injury. Medial condylar Hoffa fracture is a rare injury and has anecdotally been reported in the literature. We describe a rare case of medial condyle Hoffa fracture and its management. A 35-year-old female labourer presented to Orthopaedic emergency with the complaint of acute pain and swelling in her left knee following fall from moving bus. She was diagnosed to have fracture medial condyle with Hoffa’s component. The fracture was fixed with anterior to posterior direction usingcannulatedcancellous screws; an intraarticular fragment which was involving the distal articular surface was fixed with Herbert screw under fluoroscopy control by anterior midline medial parapatellar arthrotomy. At 6 months, patient had 0°–140° of range of movements without pain and deformity. Radiographs showed no signs of avascular necrosis, osteoarthritis, or implant breakage. We described a rare case of a medial condylar Hoffa fracture managed successfully by open reduction and internal fixation with good clinical outcome at 6 months of follow-up. The anterior medial parapatellar approach allows excellent exposure of medial condyle. Anatomic reduction and rigid internal fixation using cannulated cancellous screws and any intraarticular fragments with Herbert’s screw allows early mobilization and excellent long term outcome.